Safety and efficacy of transcatheter closure of outlet-type ventricular septal defects in children and adults with Amplatzer Duct Occluder II
| Autor: | Mei-Hwan Wu, Hsin-Chia Lin, Ming-Tai Lin, Jui-Yu Hsu, Jou-Kou Wang, Su-Man Lin, Chun-An Chen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Heart Septal Defects Ventricular Male Cardiac Catheterization medicine.medical_specialty Adolescent Septal Occluder Device Heart block medicine.medical_treatment Aortic regurgitation Regurgitation (circulation) Ventricular septal defect Body weight Aortic Valve Prolapse Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Embolization Child Device failure Retrospective Studies lcsh:R5-920 business.industry Infant Newborn Infant General Medicine medicine.disease Surgery Treatment Outcome Amplatzer Duct Occluder II Child Preschool 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology lcsh:Medicine (General) business Shunt (electrical) |
| Zdroj: | Journal of the Formosan Medical Association, Vol 120, Iss 1, Pp 180-188 (2021) |
| ISSN: | 0929-6646 |
| DOI: | 10.1016/j.jfma.2020.04.015 |
| Popis: | Background/purpose Outlet-type VSD is frequently associated with aortic valve prolapse that surgery is frequently required. The literature regarding outcomes of transcatheter closure of outlet-type VSDs is scant. This study was conducted to know the safety and efficacy of transcatheter closure of outlet-type ventricular septal defects (VSDs) with Amplatzer Duct Occluder II (ADO II). Methods Medical records of patients underwent attempted transcatheter closure of outlet-type VSD with ADO II between October 2013 and August 2019 were retrospectively reviewed. Results Among 49 patients, transcatheter closure was successful in 45 (91.8%; 33 males and 12 females; mean [± standard deviation] age and body weight: 15.8 (±17.7) years and 36.6 (±23.3) kg, respectively). The median VSD diameter was 4.0 mm (range: 1.2–6.0 mm). Device closure failed in four because the sheath could not be advanced through a prograde or retrograde route in one patient, occluder embolization in the two patients, and failed right ventricular disc anchoring in one patient. After a mean follow-up of 22.7 months (range: 0.3–51.1 months), only nine (20.0%) patients had increased severity in aortic regurgitation (AR) on the echocardiography. Preprocedural AR decreased in severity or even disappeared in 11 (24.4%) patients. No heart block or device failure occurred during follow-up. A trivial-to-small residual shunt was detected in 19 patients (42.2%) in the most recent echocardiography. Conclusion Transcatheter closure of outlet-type VSDs with ADO II is feasible. Although no significant aggravation of AR was observed in the short-to-mid-term follow-up, long-term follow-up is mandatory. |
| Databáze: | OpenAIRE |
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